動機式晤談介入於第二型糖尿病病人自我效能、自我照顧行為及血糖控制之成效

Hung-Yen WU; Shu-Ming CHEN; Pei-Ling WANG

doi:10.6224/JN.202312_70(6).06

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P36 - 47

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

DOI： 10.6224/JN

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动机式晤谈介入於第二型糖尿病病人自我效能、自我照顾行为及血糖控制之成效

Effects of a Motivational Interview Intervention on Self-Efficacy, Self-Care Behavior, and Glycemic Control in Type 2 Diabetic Patients

吴虹燕(Hung-Yen WU) ；陈淑铭(Shu-Ming CHEN) ；王佩翎(Pei-Ling WANG)

护理杂志； 70 卷 6 期 (2023 / 12 / 01) ， P36 - 47

繁体中文;英文 DOI： 10.6224/JN.202312_70(6).06

第二型糖尿病；动机式晤谈；自我效能；自我照顾行为；血糖控制； type 2 diabetes ； motivational interview ； self-efficacy ； self-care behaviors ； blood sugar control

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摘要 │ 参考文献 (44) │ 国际计量

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Background: Motivation is an important factor in disease management for diabetic patients. However, motivational strengthening interventions have been inadequately effective in effecting behavior change in this group. Purpose: This study was designed to investigate the effect of a motivational interview intervention on self-efficacy, self-care behavior, and blood sugar control in patients with type 2 diabetes. Methods: The target population comprised patients with type 2 diabetes in two medical wards of a regional hospital in the southern Taiwan. The 112 participants were randomly assigned to the experimental group (n = 56) and control group (n = 56). Over a three month period, the experimental group received 6 motivational interview sessions of 50 minutes each in addition to usual diabetes care, while the control group received usual diabetes care on the ward. Both groups completed the demographic questionnaire, Chinese version of Diabetes Self-Efficacy Scale, Diabetes Self-Care Behavior Scale, glycosylated hemoglobin level pre-test, and 3 months post-test survey. The results were analyzed using SPSS 22.0 for Windows. Results: A total of 55 patients in the experimental group and 52 patients in the control group completed the study. After analysis, significant inter-group differences in self-efficacy and self-care behavior were found between the experimental group and the control group at pre-test and three-month post-test (p < .001). For the experimental group, the three-month post-test score and glycated hemoglobin value were higher than at pre-test. The three-month posttest value was significantly lower (p < .001) than the pre-test value, and the change effect in the experimental group was better than that in the control group. There was a significant difference in the stages of change between pre-test and posttest (X^2 = 43.89, p < .001), and the change effect in the experimental group was better than that in the control group. Conclusions/Implications for Practice: The proposed motivational interview intervention can help patients with type 2 diabetes admitted to medical wards improve their self-efficacy, self-care behavior, and glycated hemoglobin values. In the future, nursing education should improve the teaching of motivational interview skills to allow nurses to conduct effective interviews quickly during treatment, increase their patients' motivation to self-control blood sugar, and enable patients to learn blood sugar control skills before discharge to achieve effective blood sugar control.

参考文献 ( 44 ) 〈TOP〉

American Diabetes Association(2019).4. Comprehensive medical evaluation and assessment of comorbidities: Standards of medical care in diabetes-2019.Diabetes Care,42(Suppl. 1),S34-S45.
American Diabetes Association(2018).3. Comprehensive medical evaluation and assessment of comorbidities: Standards of medical care in diabetes-2018.Diabetes Care,41(Suppl. 1),S28-S37.
American Diabetes Association(2021).2. Classification and diagnosis of diabetes: Standards of medical care in diabetes-2021.Diabetes Care,44(Suppl. 1),S15-S33.
Azami, G.,Soh, K. L.,Sazlina, S.-G.,Salmiah, M. S.,Aazami, S.(2018).Behavioral interventions to improve self-management in Iranian adults with type 2 diabetes: A systematic review and meta-analysis.Journal of Diabetes & Metabolic Disorders,17(2),365-380.
Babaniamansour, S.,Aliniagerdroudbari, E.,Niroomand, M.(2020).Glycemic control and associated factors among Iranian population with type 2 diabetes mellitus: A cross-sectional study.Journal of Diabetes & Metabolic Disorders,19(2),933-940.

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